• Title/Summary/Keyword: Risk program

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Predictive Modeling for the Growth of Salmonella Enterica Serovar Typhimurium on Lettuce Washed with Combined Chlorine and Ultrasound During Storage

  • Park, Shin Young;Zhang, Cheng Yi;Ha, Sang-Do
    • Journal of Food Hygiene and Safety
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    • v.34 no.4
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    • pp.374-379
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    • 2019
  • This study developed predictive growth models of Salmonella enterica Serovar Typhimurium on lettuce washed with chlorine (100~300 ppm) and ultrasound (US, 37 kHz, 380 W) treatment and stored at different temperatures ($10{\sim}25^{\circ}C$) using a polynomial equation. The primary model of specific growth rate (SGR) and lag time (LT) showed a good fit ($R^2{\geq}0.92$) with a Gompertz equation. A secondary model was obtained using a quadratic polynomial equation. The appropriateness of the secondary SGR and LT model was verified by coefficient of determination ($R^2=0.98{\sim}0.99$ for internal validation, 0.97~0.98 for external validation), mean square error (MSE=-0.0071~0.0057 for internal validation, -0.0118~0.0176 for external validation), bias factor ($B_f=0.9918{\sim}1.0066$ for internal validation, 0.9865~1.0205 for external validation), and accuracy factor ($A_f=0.9935{\sim}1.0082$ for internal validation, 0.9799~1.0137 for external validation). The newly developed models for S. Typhimurium could be incorporated into a tertiary modeling program to predict the growth of S. Typhimurium as a function of combined chlorine and US during the storage. These new models may also be useful to predict potential S. Typhimurium growth on lettuce, which is important for food safety purposes during the overall supply chain of lettuce from farm to table. Finally, the models may offer reliable and useful information of growth kinetics for the quantification microbial risk assessment of S. Typhimurium on washed lettuce.

The Relationship Between the Life Stress and Smartphone Addiction in Nursing College Students (간호대학생의 생활스트레스와 스마트폰 중독 관련성)

  • Kim, Jong-Im
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.4
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    • pp.391-400
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    • 2019
  • This study was conducted to investigate the connections between life stress and smartphone addiction of nursing college students. The subjects included nursing college students in some areas. Data were collected in November and December, 2018 from a total of 240 subjects. Collected data were subjected to frequency, percentage, t-test, ${\chi}^2$-test, and ANOVA analyses to identify differences in smartphone addiction level and stress characteristics according to general characteristics. Correlations between smartphone addiction and stress characteristics were investigated by Pearson's correlation analysis, and factors influencing smartphone addiction were examined by hierarchical multiple regression analysis. The findings showed that independent variables had explanatory powers of 14.8% and 32.7% in Models 1 and 2, respectively. The study examined differences in smartphone addiction level according to the general characteristics of the subjects and found that female college students had a higher level of smartphone addiction than their male counterparts. The smartphone addiction level was high in those who were not satisfied with college life, used a smartphone for five hours or more a day, and spent many hours on SNS. Evaluation of differences in stress characteristics according to their general characteristics revealed female college students scored higher for stress characteristics. The means of the stress characteristics were also high for those who were not satisfied with college life, used a smartphone for many hours, and had a high risk of smartphone addiction. In conclusion, female gender, hours of smartphone usage and SNS, academic stress, and value stress were important factors influencing the smartphone addiction of nursing college students. These findings indicate the need to reinforce a stress management program for nursing college students and thus provide them with multifaceted support for stress management.

Characteristics of the Oropharyngeal Swallowing Impairment in Stroke Patient using the Modified Barium Swallowing Impairment Profile (MBSImP에 따른 뇌졸중 환자의 삼킴 장애 양상 분석)

  • Im, Ikjae
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.7
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    • pp.36-44
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    • 2019
  • Swallowing impairment is a frequent complication following stroke. The characteristics of swallowing impairment with stork patient can facilitate identification of individuals at risk of dysphagia would be of great helpful. The present study examined oropharyngeal swallowing impairment with subacute stroke patients using the Modified Barium Swallowing Impairment Profile(MBSImP). The 49 consecutive patients with the supratentorial stroke met inclusion criteria for the present study. A retrospective review was performed of patients who underwent the videofluoroscopic swallowing study(VFSS). Of Stroke patients, 95.9% exhibited abnormal function of lip closure. 98% and 57.1 % shown abnormal tongue function and lingual motion, respectively. Oral residue was present in 51% and delayed pharyngeal response was present in 89.9%. In addition, abnormal laryngeal and hyoid excursion was seen in 42.9% and 87.8%, respectively. Abnormal function of soft palate elevation was present in 18.4% and abnormal epiglottic movement was seen in 4.1%. 30.6% of 30.6% of these patients exhibited abnormal laryngeal closure. All of the stroke patients(100%) in this study exhibited abnormal pharyngeal stripping wave and pharyngoesophageal segment opening. Abnormal tongue base retraction and oral reside were present 91.8%, respectively. The results suggest that stroke patient is more likely to exhibit reduced swallowing functions including lip closure, tongue control, initiation of pharyngeal swallow, anterior hyoid motion, tongue base retraction, pharyngeal residue and pharyngoesophageal contraction. Therefore, these data could provide valid and precise information regarding physiological evidence to delineate symptoms of dysphagia in this stroke cohort. Future studies should explore the bolus effect in the swallowing impairment.

Radiological Impact on Decommissioning Workers of Operating Multi-unit NPP (다수호기 원전 운영에 따른 원전 해체 작업자에 대한 방사선학적 영향)

  • Lee, Eun-hee;Kim, Chang-Lak
    • Journal of Nuclear Fuel Cycle and Waste Technology(JNFCWT)
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    • v.17 no.1
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    • pp.107-120
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    • 2019
  • The decommissioning of one nuclear power plant in a multi-unit nuclear power plant (multi-unit NPP) site may pose radiation exposure risk to decommissioning workers. Thus, it is essentially required to evaluate the exposure dose of decommissioning workers of operating multi-unit NPPs nearby. The ENDOS program is a dose evaluation code developed by the Korea Atomic Energy Research Institute (KAERI). As two sub-programs of ENDOS, ENDOS-ATM to anticipate atmospheric transport and ENDOS-G to calculate exposure dose by gaseous radioactive effluents are used in this study. As a result, the annual maximum individual dose for decommissioning workers is estimated to be $2.31{\times}10^{-3}mSv{\cdot}y^{-1}$, which is insignificant compared with the effective dose limit of $1mSv{\cdot}y^{-1}$ for the public. Although it is revealed that the exposure dose of operating multi-unit NPPs does not result in a significant impact on decommissioning workers, closer examination of the effect of additional exposure due to actual demolition work is required. The calculation method of this study is expected to be utilized in the future for planned decommissioning projects in Korea. Because domestic NPPs are located in multi-unit sites, similar situations may occur.

Effects of the Characteristics of the JooTeakYeonKeum Contract on Its Termination (주택연금의 특성이 계약해지에 미치는 영향)

  • Jeon, You Jeong;Yoo, Seon Jong
    • Korea Real Estate Review
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    • v.28 no.1
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    • pp.115-130
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    • 2018
  • This study investigated the factors influencing the termination of the JooTeakYeonKeum contract according to its rate increase, and aimed to identify the differences in the factors affecting the cancellation of the contract according to the collateralized house price range. The results showed that the higher the cumulative increase rate of the mortgage housing price at the time of subscription is, the higher the monthly payment, the larger the gap between the monthly payment and the minimal living expenses for aging, the lower the net population moving rate in the previous month, and the lower the cumulative mortgage. Moreover, the JooTeakYeonKeum contract is terminated. The factors affecting the termination of the contract are different in each interval of the price range of the mortgage housing. To confirm this, a mortgage price range model was constructed and analyzed. The results showed that 60% of the elderly participants in the JooTeakYeonKeum program subscribed thereto with a below-average subsidized housing price. It was confirmed that the factors affecting the termination of the contract differ by price range. Lowering the risk of increasing the JooTeakYeonKeum termination rate will be a significant way of boosting the welfare of elderly people aged 65 and older, and of easing the impact of population aging.

IoT Utilization for Predicting the Risk of Circulatory System Diseases and Medical Expenses Due to Short-term Carbon Monoxide Exposure (일산화탄소 단기 노출에 따른 순환계통 질환 위험과 진료비용 예측을 위한 IoT 활용 방안)

  • Lee, Sangho;Cho, Kwangmoon
    • Journal of Internet of Things and Convergence
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    • v.6 no.4
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    • pp.7-14
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    • 2020
  • This study analyzed the effect of the number of deaths of circulatory system diseases according to 12-day short-term exposure of carbon monoxide from January 2010 to December 2018, and predicted the future treatment cost of circulatory system diseases according to increased carbon monoxide concentration. Data were extracted from Air Korea of Korea Environment Corporation and Korea Statistical Office, and analyzed using Poisson regression analysis and ARIMA intervention model. For statistical processing, SPSS Ver. 21.0 program was used. The results of the study are as follows. First, as a result of analyzing the relationship between the impact of short-term carbon monoxide exposure on death of circulatory system diseases from the day to the previous 11 days, it was found that the previous 11 days had the highest impact. Second, with the increase in carbon monoxide concentration, the future circulatory system disease treatment cost was estimated at 10,123 billion won in 2019, higher than the observed value of 9,443 billion won at the end of December 2018. In addition, when summarized by month, it can be seen that the cost of treatment for circulatory diseases increases from January to December, reflecting seasonal fluctuations. Through such research, the future for a healthy life for all citizens can be realized by distributing various devices and equipment utilizing IoT to preemptively respond to the increase in air pollutants such as carbon monoxide.

A Study on the Cognizance of Hospital and oriental Hospital Workers for Medical Device Safety Information Monitoring (의료기기 안전성 정보 모니터링에 대한 한병병원 및 병원 종사자의 인지도 조사연구)

  • Kim, Ji Hyun;Nam, Ki Chang;Kim, Hojun;Nam, Yeon Gyo;Kim, You Jin;jo, Eun hye;Kwon, Bum Sun
    • Journal of Biomedical Engineering Research
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    • v.42 no.3
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    • pp.86-93
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    • 2021
  • Purpose: The purpose of this study is to find out the cognizance of medical device safety information (MDSI) monitoring in the hospital and oriental hospital workers, and the different aspect of MDSI between oriental medical devices and medical devices. Methods: The survey was performed both in the oriental medicine hospital and general hospital. The survey had 16 items; 2 items basic questions, 5 items in the awareness of MDSI, 5 items in the education of MDSI, 4 items in the necessity of defining oriental medical devices and differences between general and oriental medical devices. A total of 120 hospital worker were participated; 60 oriental medicine hospital workers and 60 general hospital workers. They had worked in the oriental medicine or general hospital associated with 'Medical Device Safety Monitoring Center, Dongguk University Ilsan Hospital' in 2019 and 2020. Results: The cognizance of MDSI was high both in oriental medicine hospital and general hospital workers and there were no significant differences between oriental medicine and general hospital workers. When we divided the hospital workers into the senior workers who had worked for over 3 years and junior workers for less than 3 years, the senior workers had higher awareness of MDSI than junior workers. However, the cognizance of education of MDSI was high which was not different between senior and junior workers. Both hospital workers thought that it was necessary to define oriental medicine device legally and the oriental medical device might have low risk and less side effect than medical device. Conclusion: The cognizance of MDSI was high and there was no significant differences between oriental medicine and general hospital workers. Because the senior hospital workers had higher recognition of MDSI, we need to provide the continuous education program for junior hospital workers. Although oriental medical device are thought to be safer than medical device, we need to have a legal definition.

Effects of Music Therapy on Cognitive function and Agitation, Anxiety and Depression in Dementia Elderly: a Systematic Review and Meta-analysis of Randomized Controlled Trials (음악요법이 치매노인의 인지기능, 초조행동, 불안 및 우울에 미치는 효과: 체계적 고찰 및 메타분석)

  • Chai, Gong Ju;Lee, Mi-Kyung;Nam, Eun Sook;Lee, Ho Yeon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.22 no.1
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    • pp.520-530
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    • 2021
  • Objectives: This study aimed to identify the effects of music therapy on cognitive function, agitation, anxiety and depression in the elderly with dementia. Method: A comprehensive literature search was performed on PubMed, EMBASE, Cochrane Library, CINAHL, Web of Science, Google scholar and PsycINFO, for the period 2010 to 2019. In the meta-analysis, the standardized mean difference (Hedges' g) and 95% confidence interval were calculated as summary measure, and the random effect model and inverse variance method were applied using the RevMan 5.4 program. A total of 13 studies were included; all were determined to be acceptable, based on the Cochrane collaboration's tool for assessing risk of bias. Results: The effect size (Hedges' g) was 0.31 (95% CI: -0.02, 0.65) for cognition and -0.03 (95% CI: -0.17, 0.11) for agitation behavior as the primary outcomes, and 0.61 (95% CI: -1.17, -0.05) for anxiety and -0.44(95% CI: -0.88, 0.00) for depression as the secondary outcomes. Subgroup analysis by type of music intervention revealed that combined music therapy has a significantly increasing beneficial effect on cognition of dementia patients (g=0.45[95% CI: 0.03, 0.87]). Conclusion: Music therapy was determined to exert beneficial effects in reducing anxiety and depression, and combined music therapy demonstrated improved cognitive functions in elderly patients with dementia.

Interaction Effects between Individual Socioeconomic Status and Regional Deprivation on Onset of Diabetes Complication and Diabetes-Related Hospitalization among Type 2 Diabetes Patients: National Health Insurance Cohort Sample Data from 2002 to 2013 (개인의 사회경제적 수준과 지역의 사회경제적 수준의 상호작용이 제2형 당뇨 환자에서 당뇨합병증 발생 및 당뇨와 관련된 입원에 미치는 영향: 2002-2013년 국민건강보험공단 표본 코호트 자료를 활용하여)

  • Jang, Jieun;Ju, Yeong Jun;Lee, Doo Woong;Lee, Sang Ah;Oh, Sarah Soyeon;Choi, Dong-Woo;Lee, Hyeon Ji;Shin, Jaeyong
    • Health Policy and Management
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    • v.31 no.1
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    • pp.114-124
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    • 2021
  • Background: In this study, we aimed to investigate the interaction effects of individual socioeconomic status and regional deprivation on the onset of diabetes complications and diabetes-related hospitalization among type 2 diabetes patients. Methods: Korean National Health Insurance Service National Sample Cohort data from 2002 to 2013 were used. A total of 50,954 patients newly diagnosed with type 2 diabetes from 2004 to 2012 and aged 30 years or above were included. We classified patients into six groups according to individual income level and neighborhood deprivation: 'high in advantaged,' 'high in disadvantaged,' 'middle in advantaged,' 'middle in disadvantaged,' 'low in advantaged,' and 'low in disadvantaged.' We calculated hazard ratios (HR) of onset of diabetes complication and diabetes-related hospitalization using the Cox proportional hazard model, with the reference group as diabetes patients with high income in advantaged regions. Results: In terms of the interaction effects of individual income level and regional socioeconomic level, even with the same low individual income level, the group with a high regional socioeconomic level (low in advantaged) showed low HRs for the onset of diabetes complication (HR, 1.04; 95% confidence interval [CI], 1.00-1.08) compared to the 'low in disadvantaged' group (HR, 1.10; 95% CI, 1.05-1.16). In addition, the 'high in advantaged' group showed slightly higher HRs for the onset of diabetes complication (HR, 1.06; 95% CI, 1.00-1.11) compared to the 'low in advantaged' and it appeared to be associated with slight mitigation of the risk of diabetes complication. For the low-income level, the patients in disadvantaged regions showed the highest HRs for diabetes-related hospitalization (HR, 1.29; 95% CI, 1.19-1.41) compared to the other groups. Conclusion: Although we need to perform further investigations to reveal the mechanisms that led to our results, interaction effects individual socioeconomic status and regional deprivation might be associated with on onset of diabetes complications and diabetes-related hospitalization among type 2 diabetes patients.

A Convergence Study of the Effects of Eating Behaviors on Stress Recognition by Adolescent Gender (청소년의 성별에 따른 식생활 행태가 스트레스 인지에 미치는 영향에 대한 융합적 연구)

  • Kim, Ga-Eun;Choi, Yoon-Ha;Kang, Su-Min;Lee, Jongseok;Jung, Deuk
    • Journal of the Korea Convergence Society
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    • v.12 no.8
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    • pp.85-92
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    • 2021
  • This study was conducted to identify the impact of adolescents' dietary behavior on their stress perception and provide basic data for education programs linked to customized nutrition education by gender. In this study, the 2019 Korea Youth Risk Behavior Web-based Survey was used, and a total of 57,303 middle·high school students were selected. Controlling adolescents' age, school record, economic status, residence type, subjective health and body type perception, and the dietary life variables designed with breakfast, fresh foods(fruit, vegetables, milk, water), processed foods(carbonate beverage, energy beverage, sweet beverage, fast food) were analyzed to have an effects on the stress recognition of adolescents. Breakfast had a negative(-) effect on stress perception in all genders of adolescents, and in the case of fresh food, water for boys and fruit for girls had the highest negative(-) effect on stress perception, and in the case of processed foods, energy drink was the dietary factor that had the highest positive(+) effect on adolescents' stress perception. These results suggest that it is necessary to develop a dietary education program tailored to the gender of adolescents to improve their stress perception, and to provide continuous guidance to form a healthy diet.